HomeMy WebLinkAboutPermit Building 1995-4-4
COMMERCIAL/INDUSTRIAL -.
PEBMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK. ~V,., h1nt#Y" :f-7-
ASSESSORS MAp. /:;>...p 7- 3--5"-- ?/""
_B NUM BER 9"5' II!) '7'/0
INSPECTION LINE: 726.3769
OFFICE: 726-3759
TAX LOT: ~?:i5~
OWNER.. ,~~rA2'~&b~/ /z=-~~ PHONE:
ADDRESS- q~/ ~E. 2.8~ ~y~
CITY- p~~~r> STATF. ~.
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ZIP: q)2~<
DESCRIPTION OF WORK: //-(...,,,:~/' ~A?"'(~;~ ~ .('"~,; ?:!-'_-r p~_;.. .'--=:-/5-;'''-
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.. NEW REMODEL v ADDITION DEMOLISH OTHER VALUE::J'-~ ~
NAME
ADDRESS
ARCHITECT.
CONTRACTOR'S NAME
GENERAl.
PLUMBING:
MECHA.NICAI ./)_A~
ELECTRICAl . ~ ~_ <; .
ADDRESS
PLUMRINn
I
I Nn
I
I
I
I
I
I
I
I
I
I
I
I
NO_
. 1'1'1' . r.HARnl'
Single Fixture
Relocated Bldg.
lnew fix. addtl)
Water ServIce
ft.
Sanitary Sewer
II.
II.
Storm Sewer
Backflow Device
TOTAL PERMIT
- OFFICE USE -
OUAD AREA'
LAND u.e.
, OF BLDGf'.
, OF UNITf.
OCCY GROUp.
, OF STORIEf'.
CONSTR. TYPF.
HEAT SOURCE:
so. FT.
"
$/SO. FT. .
so. FTG MAIN
SO. FTG ACCESS
SO. FTG OTHER
X
X
X.
~.. "-
PLAN CH ECK FEE -::? 112 4--=<'
RCPT'
DATI'
I BUILDING PERMIT
15% State
Surcharoe
I MECH~.rl~
15'/, State r 2;;
Surcharae '1"'-.1:; I,
I PAVING I
L/C/-5?> I PLUMBING
:.<;/- . ~Z; 15% State
. ~~ Surcharoe
/~- -..:> FENCE
/.e::-. -e VALUE ~
- ..? 5' SIDEWALK-
. .,...,- FT.
CURBCUT
FT.
PHONE
CONST.
CONTRACTOR'
EXPIRES
PHONE
~
~~
VI
MECHANICAL
i
('>jARGE-1
l-EEe
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
Floor lurnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or htg.
Mechanical exhaust
hood and duct
-?~~ ~____....J0),
Permit Issuance
$10.00 j
. /-S:--~I
TOTAL PERMIT
AI' /""$
HANDICAP ACCESS:
FLOOD PLAIN.
ZONING.
LIGHTING POWER BUDGET: .
WATER HEATER.
VALUE
TOTAL VALUE OF .PROJECT
BY
DEMOLITION
I
SUBTOTAL
PERM ITS.
SYSTEMS
DEVELOPMENT
7~,~7
AI.#".
..
,. I
TOTAL PERMIT FEES
EXCLUDING ELECTRICAl
/"3. :z..o-
tt R~aUIRED INSPECTIONS .
It Is the responsibility of the permit holder to see that ell Inspections ere made at the proper time. To request an Inapectlon, call
726.3769 (recorder), atate your City designated job number, Job address,type of Inspection requested and when you will be ready
lor Inspection. Requests received before 7:00 a.m. will be mede the same working day, requests made alter 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made alter excavation, but
prior to setup of forms.
y
ROUGH ''-';X)'"''''''-~~-- .A '.
ELECTRICAL & "
MECHANICAL: No work Is to
be covered until these
Inspections have been made
and approved.
PAVING: Alter gravel Is In
place but prior to placing
asphalt or concrete.
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is. covered.
FOOTINGS & FOlfNDATlONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but.
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made alter
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents Bre complete and
the rough electrical, plumbing
and mechanical are approved.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
STRUCTURAL CONCRETE: In
excess of 2S00 P.S.I. (306 a.l)
CONCRETE SLAB: To be
'made alter all Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
, I n pi ace bu t before any
concrete Is placed.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
Insulation and required vapor
barriers are In place but
before any lath or gypsum
board Interior wall covering Is
applied.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation 01
floor Insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING, "
EXCAVATION AND FILLING:
During earthwork. (306 a.ll &
Chapter 29)
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, Is In
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
GLU,LAM BEAMS: Inspection
Certificate by an approved
. agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub.base material In
place.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: Alter forms are
erected but prior to placing
concrete.
'In addition to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of"ny
construction work to ensure
compliance with the BUilding,
City or Development Code.
-------------------------------------------------------
FINAL PLUMBING
JI FINAL ELECTRICAL
Y Y
FINAL MECHANICAL
Y FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All proJect condltlona such as
landscaping, parking lot striping, etc. must be completed before
requesting this Inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and '
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
ADDITIONAL COMMENTS.
4d{JAY1~ ~!,,?7tT /~/7"" /c:: -4~/hP~
,
..---
PLANS REVIEWED By/7~0 ~-..., DATe ?,-~/'9<::;",'
t' ~ - -z::--- -
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information
herein Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to th'e work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
street, that tI fer It card Is located at the front of the property, and the approved set of plans will remain on the site at all
times dU~~ng co tructl:. R
Signature' \\ ~ - --:I\: Date 4-\ ~ , q S
4!--I/7S
RECEIVED BY. ~
VALIDATION:
AMOUNT RECEIVED: / O~ .2..0
/L.tfJ..4r-..
DATE PAlO:
RECEIPT ,.